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Heroin and other opium alkaloids are actually effective treatments for a variety of psychological condition, including some forms of neurodivergence. It was the most widely prescribed medicine in the US for at least 100 years ' along with cocaine. But the majority of individuals that use opiates for that reason are incapable of dealing with the most common unwanted side effect ' addiction. Heroin, or more specifically opium, that has been standardized to deliver a septic dose, could indeed have done what RFK Jr. says it did. But that was well before the advent of synthetic opiates that are hundreds of times more powerful even in the hands of the experienced, and of course the use of cocaine. Although a common addition to Coca Cola ) that is where it got it´s name, and at one time ingested by hundred of thousands of working women in the US to work for long and oppressive hours for low wages and little food expense. Cocaine hydrochloride is a drug used by clinicians (4% solution) typically as a local anesthetic by ear, nose and throat doctors when performing any type of procedure that involve the nasal passages. There's not really another drug that can replace the vasoconstricting and anesthetizing propertied of the drug. Like a drug such as propofol, however, it is never prescribed outside of a medical setting or at least directly to a patient. In the case of RFK Jr., however, he most likely was getting cocaine cut with levamisole, a drug used to treat warts caused by viruses, leprosy, and parasites or worms in humans and other animals. It basically works by stimulating the worms muscles until they become paralyzed and die. Of course worms in many countries have become resistant to the drug. The reason it is often used to cut cocaine, as is fentanyl and a range of other potentially lethal chemicals, is that it can have anti-depressant, mood elevating, neurologically stimulating effects as a side effect. It has never been an approved drug for this indication, probably. because of the possibility of agranulocytosis- a wipeout of a huge number of white blood cells. But RFK Jr. could also have been treated with levamisole as the drug Valcor, a combination doramectine/levamisole injection for his brain worm. It's typically given to animals as an injection to treat sucking lice, mange mites, grubs, eye worms, lungworms, and GI roundworms. If you're using it in beef cattle it is advised that humans avoid eating the meat for at least 15 days. If the drug gets into groundwater it can kill off fish and insects beneficial to the environment or kills off beneficial insects that eat dung or use it to reproduce. Using contaminated heroin or cocaine for 14 years can have devastating effects on a human being.